| Casa De Corazon | |
|
314 Don Fernando St Taos NM 87571-5953 | |
| (505) 747-1991 | |
| Not Available |
| Full Name | Casa De Corazon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 314 Don Fernando St, Taos, New Mexico |
| Authorized Official Name and Position | Jeanne Margarete Wenzke (LINCENSED MASTERS OF SOCIAL WORK) |
| Authorized Official Contact | 5059445560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Corazon Po Box 3157 Espanola NM 87533-3157 Ph: (505) 747-1991 | Casa De Corazon 314 Don Fernando St Taos NM 87571-5953 Ph: (505) 747-1991 |
| NPI Number | 1548432065 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548432065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | M-06643 (New Mexico) | Primary |
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